Incoming correspondence
Letters and clinical documents are reviewed rather than left in a backlog.
Clinical Document Management
Structured handling of incoming clinical correspondence, from review through to filing on the patient record.
Overview
Practices receive a constant flow of letters, results and other clinical documents. CDS reads that correspondence, classifies it, completes coding or actions that the protocol allows, and files it so it can be retrieved later.
The aim is an organised record: documents attached to the correct patient, actions identified, and information coded where a code is required.
Workflow
- 1Document Received
- 2Clinical Review
- 3Classification
- 4Coding / Action
- 5Record Filing
Appropriate coding
Information that needs a code is translated into SNOMED CT or Read codes.
Required actions
Actions follow the shared protocol. Anything outside that protocol is returned to the practice.
Organised records
Filing is structured so documents can be found and records are ready for review or audit.
FAQs
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